Going to The Dentist with Allergies

Dentist

Note: The following advice is simply that: advice. It is not to be substituted for professional advice from your dentist. It is, rather, intended to serve as a general reminder to help you work with your dentist and/or other dental professionals to aid in safe experiences at the dentist.

 

Going to the dentist is an experience most people try to avoid. I know this because I’m a dental student and my patients are never shy to remind me of this. Usually, a dentist will ask you to fill out a health questionnaire before seeing you. This is where you should write down any allergies you have. A few common ones that are important for your dentist to know include (but are not limited to):

  • Antibiotics (e.g. penicillin, sulfonamides). A dentist might prescribe you antibiotics if you have a tooth ache and need a root canal, or if you just had a tooth extracted. If you see them reaching for the prescription pad, don’t be shy to remind them of your allergy.
  • Latex or nitrile. Depending on the dental office, some dentists prefer to use latex gloves, while others prefer nitrile. Latex can also be found in the rubber dam they use while drilling a cavity, at the tip of the drill used for prophylaxis (cleaning or polishing your teeth), at one end of the vial of anesthetic, as well as other places. If the dentist doesn’t ask you if you’re allergic before he/she sits down, feel free to mention it before they put on their gloves.
  • In local anesthesia with a vasopressor (like epinephrine), sulfites are used as a preserving agent. A sulfite allergy is not the same as an allergy to sulfa, which is an antibiotic. It’s also possible (but rare) to be allergic to a class of anesthetics called “esters” (http://www.dentistrytoday.com/pain-management/anesthesia/265). If you think you’re allergic to local anesthesia because of a past bad reaction, get tested by an allergist to make sure it’s a true allergy.
  • Today, most metals used in crowns and prostheses are precious metals and are well tolerated by the body. If you’re sensitive to non-precious metals like copper or nickel, make sure your dentist knows. In terms of fillings, a true allergy to amalgam is quite rare, but it’s still possible to have a localized reaction on the skin that’s in direct contact with the amalgam (silver/metal filling). Discuss your concerns with your dentist.

If you start experiencing the signs of an allergic reaction, bring it to the attention of the dentist immediately. All dentists are trained in emergency first aid and by law are required to stock epinephrine in their emergency kit. As long as you’re clear about your allergies (and brush and floss regularly), going to the dentist should be a relatively “painless” experience.

Talia A.

Introducing Food Allergy Canada

Introducing Food Allergy Canada

All of the writers on the “Adults with Allergies” team are very happy to share the news that Anaphylaxis Canada has rebranded as Food Allergy Canada.  

This blog is only one of many of their resources available and we can assure that their commitment to adults at risk for anaphylaxis has not changed. We look forward to providing you more great articles, advice and tips under their new banner!

Kyle, Aaron & the team at www.adultswithallergies.com

Cottage Season and Allergies

 

open field

Summer time is usually synonymous with cottage season for a lot of people in the city. Cottage season usually implies parties, barbeques, and family events. Your allergies do not have to hamper your experience. The key to enjoying these events safely is to do the proper planning. I’ve listed some common cottage events below, as well as some key points you should take note of when you plan these events (in regards to your allergies).

Event: Family Barbeque

One quintessential summer cottage event is the family barbeque. Barbeques, in and of themselves, are actually pretty safe. The barbequed ingredients are simple, for the most part: steak, hamburgers, sausages, hot-dogs, grilled vegetables, etc. However, some precautions that should be taken. This include checking the ingredients in sausages and hamburgers. If they are bought at a store, they may include different seasonings. So you want to be sure that they are safe for you. In addition, your family members may bring their own foods. Call these people in advance and make sure that they are aware of the severity of your allergy (or allergies). If you do not feel safe eating these foods, avoid eating them. Explain your concern to your family members. Given the severity of your allergy, they should not be offended.

Event: Hiking

Hiking is a fun activity that is easy to plan for. The main allergy “risk-factor” involved with hiking can be trail-mix or other snacks. Do not rely on others to provide snacks for your hike and never eat trail mix packed by others. Take a zip-lock bag and fill it with your favorite snacks that you know are free of your allergen(s). Pack your own water as well. Trail mix is usually filled with nut products. So, again, the safest option is to bring your own snacks. Also, in all cases, make sure that your epinephrine auto-injector is with you at all times. Keep it in a fanny-pack around your waste and tell your hike-partners about your allergy and how to use your auto-injector.

Event: Sleepovers

If you are the organizer of your own sleepover, you have total control over the types of foods served at your party. In this case, you are in an optimal position when it comes to safe food options. You can choose the foods that you like and that you know are safe. Make sure your friends and/or family know that you have a severe allergy and show them that you have an epinephrine auto-injector and how to use it. If you are invited to a sleep-over, let you the organizer know in-advance that you have a severe allergy and that you carry an auto-injector. Read all the ingredients on all the food you consume. One extra precaution that you could take to be extra safe would be to pack a small bag of your favorite snacks so you know that you could turn to a safe source of food if you feel hungry.

Cottage events are very enjoyable! Hopefully you found this advice helpful! These are some fast and easy steps you can take that will
allow you to be safe and to have fun during your next cottage event.

Saverio M.

Cruises And Allergies Take Two: Another Personal Account!

sunset

Traveling with allergies can be a daunting thought. There are many variables that are further out of your control when you are not in your own environment. However, if you plan appropriately, you can still have a great and rewarding vacation.

I have had food allergies since I was one year old and have still had the opportunity to travel internationally. I never thought I would have the opportunity to travel to the Caribbean due to the language barrier, although, recently traveling on a cruise ship opened this door. Cruise ships can allow you to travel to a multitude of places with food allergies if you take the necessary precautions.

Here are some things that I have learned about traveling on cruise ships that have made for an easier vacation.

Before you go:

Call the cruise line. It is important to call the cruise line that you plan to travel with. Like airlines, their policies will vary. Ask about the medical facilities on board the ship. I was surprised to learn about the capacity of care the cruise ship that I recently traveled on was capable of. My ship had a doctor and three nurses on board. They essentially had a mini emergency room, which I was told was capable of intubation and administering the medications necessary in the case of an anaphylactic reaction.

Also, ask about the dining facilities. Most cruise ships will have a buffet in addition to a formal dining room where your allergies can best be accommodated. Booking your cruise over the phone can allow for a note to be made on your file identifying your food allergies.

Pack Safe Snacks.  Although there is an abundance of food onboard, bringing safe snacks can be helpful. Between meal times, the main dining room may be closed, leaving you with the buffet as your only option. For times like these, having snacks from home can make your life easier.

Onboard the Ship:

 Arranging Meals. When you first get onboard, it is a good idea to make reservations for your meal at the main dining room. There are multiple options for how you choose to schedule your meals in the main dining rooms. An option allowing you to sit at the same table each night with the same staff will allow for consistency and an easier dining experience. When you first go for supper, you can request to speak to the head waiter, who is typically best able to handle your meals. My waiter would have me pick my meals the night before so that the kitchen could take extra time for preparation. I found the dining staff to be very helpful and cautious about my allergies. The staff all spoke fluent English so there was no language barrier.

Buffet Meals. As I mentioned before, at certain times of the day, the main dining facilities may be closed leaving the buffet as your only option. The staff members at the buffet were very accommodating with my allergies. Getting food directly from the buffet is not safe due to the risk for cross-contamination. When I talked to the staff at the buffet, they were able to prepare a fresh meal for me.

Eating on Shore. I was not comfortable to eat off of the boat. I felt that they were able to manage my needs best on board. Depending upon where you are traveling, there can be major language barriers inhibiting your ability to inform the restaurant about your allergies. I always ensured that I had enough to eat to last me until I would be back to the boat. Bringing snacks from home is one way to know what you are consuming when off the boat.

Cruising can be a great way to travel for both an action packed or relaxing vacation. Explore your options to find a vacation that you will feel comfortable with.

Sara  S.

Eating Out With Allergies

SONY DSC

Eating in restaurants when you have food allergies can be a source of anxiety (especially if you’re in an unfamiliar restaurant). As long as you keep your allergies in mind, you can find ways to eat out safely. When I eat out at a restaurant that I am not familiar with, I often ask if the restaurant has an allergy menu outlining the common allergens found in their meals.

When choosing what I am going to order, I often pick two items in case there is an issue for some reason. I always inform the waiter of my allergies, regardless of whether I have eaten there before, so that the kitchen can be aware and take extra precautions. I personally find it easier if I am the last one in my group to order, since I take longer to order.  After telling the waiter my order, I inform them of my allergies by explaining that I have life-threatening food allergies to my specific allergens.

I let them know that cross contamination could cause a reaction.  I ask them to inform the cooks of my allergies and ask if they can find out if there would be any issues with the meal I ordered based on my allergies. I have an extensive list of allergies. So sometimes, if I am unsure if the waiter got them all, I’ll have them read the list back to me.  If I ever feel uncomfortable, I will ask to speak to the manager because they tend to have more knowledge about what is going on in the kitchen. As long as you take the right precautions, you can safely enjoy a meal out with your family and friends despite having food allergies!

Sara S.

Food Allergies and Anxiety: How I Dealt with Seeing a Jaguar at Lunch

Worried Couple

Remember when people lived in caves and dodged jaguars all day? Me neither. But my brain does. That’s why, when I’m stressed out, my blood surges with adrenaline, drains to my extremities, and my attention hones in on the source of my stress. My brain is trying to help me dodge a jaguar even though that’s no longer my biggest problem.

Flash forward a few thousand years and what are our threats? Predators aren’t much of an issue anymore. Five years ago, however, I had a confrontation with a formidable opponent and it almost cost me my life. That foe was my lunch.

Having been contaminated at some point by peanuts, the food that puts me at-risk for anaphylaxis, the lunch sent my body into shock and only fast-acting doctors were able to save my life. I’ve heard this story repeated by many other people with allergies. But here is the part that often gets left out. After all the other symptoms faded, and my life was no longer in any immediate danger, I experienced crippling anxiety around food. My brain now considered every meal to be a jaguar.

At first I was nervous any time I ate. I never realized before how many sensations I experience with every mouthful of food. From itchy spots on my skin, to dry mouth, to an itchy tongue, and even stomach cramps, my new adrenaline fueled state of mind could not help but see danger in hundreds of little things that surrounded the normal experience of eating. For a while, even thinking about a meal cooked by someone else sent me into a full blown panic attack.

As time passed, the anxiety started to fade. But even months later I struggled to “act cool” in a restaurant. I was always on edge. Now, several years later, I still find myself losing my cool sometimes. My problem shifted from how to live with a severe allergy to how to live with food at all.

Through trial and error, as well as with input from some fantastic friends, I have a few strategies I use to overcome my anxiety when it arises and, more importantly, to ensure that I don’t have any major panic attacks.

The most important part of getting back to normal was coming to grips with the fact that anxiety is normal. Before this reaction, I had never experienced a panic attack. At first I fought against these with will power and resistance. Yet I inevitably made things worse. Once, while at a low point in this journey, I had been forcing down anxiety for several days when it all came exploding out at once…in the middle of a busy airport.

If you’ve never seen an adult throw a full-on temper tantrum, let me tell you, it isn’t pretty. It was embarrassing, stressful, and worst of all I was powerless as it happened. After this incident, I had the opportunity to hear from many other people with allergies. I wasn’t weird or abnormal for reacting this way. This is how it goes. In time I was able to gradually “let go” and accept that the trauma I experienced naturally led to a belief that food was dangerous. As I got better and better, I could sense an adrenaline rush coming on and just allow it to happen. I’d feel the surge rise and fall and then go back to my day.

Acceptance was only the first phase of the journey. In order to avoid the occurrence of the panic attacks in the first place, I realized I needed to do a better job of planning ahead. This goes right back to that caveman brain of mine. The panic response comes from being surprised. I began to plan my meals. Often my meals out of the house were spontaneous. I would be out with friends and we would stop at a restaurant wherever we were when we got hungry. I had to change and start telling people up front that I wasn’t ready to be adventurous yet. I had to tell people that there were only certain places I felt comfortable eating and that was that. Whenever possible, I didn’t even enter the building without first calling to speak to a chef. In other cases, I made my own food and avoided the situation all together.

The hardest part was realizing that managing this anxiety was going to be a long process. To help with that I had to be open about it. I started talking to my friends, family, and even co-workers. It was hard and vulnerable but it was also very helpful. I taught people about the things that triggered my panic and they helped me avoid them.

Despite all of my progress and efforts, there are still moments that trigger panic. If you think about it, that is good. If I have a real reaction, that panic may end-up keeping me alive. But, if I have an anxiety attack due to a false alarm, I need a strategy to snap back out of it. For this I found that my best tool is a good self-assessment. Before I continue, please note: I am not a doctor and this assessment is of my own design and not to be taken as medical advice. My self assessment is a system I use to quickly check for some of my biggest symptoms of an allergic reaction.

I bite my tongue to check for itchiness and swelling, pinch my ear to check for itchiness, lift the sleeve of my shirt (the whole shirt if I have enough privacy) to check for hives, and take a few deep breaths to test my airway and also calm down. This will either help me quickly determine that I am indeed having a reaction, or, instead, will reassure me that my symptoms aren’t present. I repeat this assessment (and a few other checks) regularly to see if anything changes. The trick with this one is to understand that I do have an allergy and that I do need to take it seriously. But I can do this calmly.

Life with a severe allergy can be very difficult. As humans, we are wired to react swiftly and intensely to dangers. When we experience the trauma that comes with an allergic reaction, this can lead to some mixed up signals in our brains and cause us to carry around extra anxiety. Now that I’ve shared my story with you, I want to encourage you to share yours. The anxiety and panic that many of us live with are normal occurrences and will never disappear. But, by being open and honest about these, we can help make the process easier and the panic attacks less frequent.

Jason Brennan 

Movie Nights at Home: The Snacker’s Guide

Woman Masked

I recently hosted a Hobbit movie marathon at my house with a few of my Middle-Earth-loving friends. For those unfamiliar with The Hobbit trilogy, it’s essentially three awesome fantasy adventure films based on a single short children’s novel written by J.R.R. Tolkien. Some people say three movies was excessive. I disagree. But that argument can be saved for another time.

A very essential part of this marathon day, and any movie night at home for that matter, is FOOD! If you’re like me, snacks are a big part of the movie watching experience. However, with a food allergy to peanuts and tree nuts, I have to be careful what I eat and what the people around me eat. For this reason, I like to involve myself in the snack planning. That way, I can enjoy the movie more as I will be more confident that everything will be safe to eat. As a side note, before I share some of my snack ideas, be sure to clean the surfaces where you will be sitting. If it’s at a friend’s house, offer to clean the couch and nearby tables to minimize the risk of cross-contamination. Also, politely ask everyone to wash their hands before handling any food. It’s really not a big deal to ask and your friends will appreciate your diligence.

Here are a few ideas for allergy-friendly snacks for a movie night at home. Please keep in mind your own food allergies while reading through this list and adjust according to your food preferences and requirements.

1) Popcorn. This is a staple food for most movie watchers. I like to buy unpopped kernels so that I can prepare them how I like. If I’m feeling adventurous after popping them, I’ll sprinkle cinnamon on top. Or sometimes butter and salt. If you like spicy foods, chili powder is also a fun popcorn topping. You could also try coconut oil for something different. The possibilities are really endless with popcorn!

2) Veggies and dip. This one takes a little more planning. I like to make sure that I buy the veggies and prepare them myself so that I am confident that there is no cross-contamination risk when chopping them up. As for dip, store bought dips are great. But sometimes I prefer to make my own. Adding spices to a mayonnaise or plain Greek yogurt base can make for great dips. Then simply serve and enjoy!

3) Chips. I’m a big chip fan. However, if you are allergic to wheat or any other chip ingredient, the good news is that some companies have found innovative ways to make chips. For example, using beans instead of wheat (very, very tasty!!). You can also make your own using other ingredients. There are hundreds of simple recipes and instructions online or in books describing how to make chips out of bananas, kale, apples, potatoes… pretty much anything! These are great for impressing your friends with something homemade and tasty.

4) Candy. This one is tough to make at home. But I’m sure there are recipes out there somewhere on how to do so. If not, just be sure to read the ingredients twice to ensure that your allergen(s) are not present.

5) Pizza. This is another great food for movie night at home. Just be sure to read ingredients and/or inform the pizza maker about the severity of your allergies. If you feel uneasy about ordering or buying oven-ready pizzas, it’s really simple to make your own. Use a tortilla or a bagel, top it with your favourite ingredients, bake, and share!

6) Other. I will leave this other section for you to fill in with your own ideas. Be creative and safe!

Also, feel free to post comments about your allergy-friendly snack ideas for movie nights at home. I’d love to hear them!

 Dylan B.

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